National Provider Identifier Database

ETROS LIVING LLC
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Contact Information

ETROS LIVING, LLC
840 E DALTON AVE
COEUR D'ALENE, ID  83815-9338
Phone: 208-665-2100
Fax: 208-665-9250
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X
Alzheimer Center /Dementia Center/Dementia Special Care Unit 311500000X
Assisted Living, Behavioral Disturbances 3104A0630X
Assisted Living, Mental Illness 3104A0625X
Hospice, Inpatient 315D00000X

* Indicates primary specialty

NPI Profile & details for ETROS LIVING, LLC

NPI Number 1568972016
Legal business name
LBN		 ETROS LIVING, LLC
Authorized official AMBER WILLIAMS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 10/10/2017
Last updated 03/17/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Other: RC-1065 IDAHO DEPARTMENT OF HEALTH AND WELFARE RESIDENTIAL CARE FACILITY LICENSE
  • ID Other: RC-1066 IDAHO DEPARTMENT OF HEALTH AND WELFARE RESIDENTIAL CARE FACILITY LICENSE
  • ID Other: RC-1067 IDAHO DEPARTMENT OF HEALTH AND WELFARE RESIDENTIAL CARE FACILITY LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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